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A New Use Case For HIEs

A New Use Case For HIEs | #HITsm | Scoop.it

Hospitals today have disaster recovery backups of their IT infrastructure. But in the event of a natural disaster, how does the transfer facility get access to the patient health information located in the backup systems of the evacuated provider? The answer is to have this patient health information shared among neighboring states using the statewide HIE infrastructures. When a hurricane is approaching, the hospitals can proactively share the patient health information with neighboring state HIEs so that when patients are evacuated their information is readily available at the new facility. This could be as simple as uploading a CCD for all patients to the neighboring HIEs.


As HIEs evolve, we will likely continue to see new use-case scenarios emerge for the sharing of patient health information. It is refreshing to hear about HIEs providing solutions for patients.

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HIE Communication Methods

HIE Communication Methods | #HITsm | Scoop.it

GENi Blog: Although not an exhaustive list, there are four common methods health organizations use to send and receive Continuity of Care Documents (CCD) within an HIE:

  • TCP/IP over VPN
  • Secure Web Services
  • Secure FTP
  • Secure E-mail

In this post I describe each communication method, from most interoperable to least interoperable.

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GENi Blog: Despite Momentum, HIE Sustainability a Concern

GENi Blog: Despite Momentum, HIE Sustainability a Concern | #HITsm | Scoop.it

Very few in healthcare argue that exchanging patient health records electronically is a bad idea. HIEs around the country are already touting the benefits of their services, namely a reduction in unnecessary patient trauma and unnecessary costs.


However, I thihnk there are two related obstacles for HIEs to overcome on the road to long-term success:

  • Become financially solvent
  • Educate patients about the need for the electronic exchange of their health data
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OpEd from an HIE Director: Medical information will soon follow patient

OpEd from an HIE Director: Medical information will soon follow patient | #HITsm | Scoop.it

Gijs van Oort, executive director for the HIE Healthcare Access San Antonio, contributed a very good summary of the value of an HIE. In San Antonio Express-News:


The benefits are obvious; instead of automatically ordering a laboratory test, a physician can now look at recently completed tests, thus avoiding unnecessary patient trauma and costs. Patients being referred to specialists can now expect to have relevant information waiting once they schedule their appointments. And emergency rooms no longer have to treat patients based on their symptoms only, but rather can review a patient history in addition to the presented symptoms. And, they can be assured that their discharge orders will be available at the patient's physician for follow up.


Consumers are waiting to get on board. If data security can be assured and patients have control over who can see their information, more than 85 percent of locally surveyed consumers favor the exchange of their health information as well as the opportunity to track their medical information through a Personal Health Record.

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Forecast and Ramifications of Payers in the HIE Market

Forecast and Ramifications of Payers in the HIE Market | #HITsm | Scoop.it

From Chilmark Research: The numerous changes in the healthcare sector are forcing stakeholders to develop new business models to prosper, to survive. Among health insurers, this means one thing: diversification.


So why have payers been so cautious to jump on board and fund HIE’s?


The answer is multi-faceted. First and foremost is simply the issue that many a provider is uncomfortable with a payer having direct access to clinical data and is thus unwilling to share such data with an HIE that has payer involvement. Second is the business uncertainty at this early stage of HIE maturity. The HIE market remains very dynamic and there is a lot of uncertainty as to where this market will eventually lead. Before putting some parameters around the direction of payer-involvement in the HIE market, it bears a quick run-through of what the different models of payer involvement look like today.

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From The Blog: HIMSS12 Sessions and Connections

From The Blog: HIMSS12 Sessions and Connections | #HITsm | Scoop.it

Jon Mertz writes about next week's big conference:


"HIMSS12 is a big event, an understatement in so many ways. It is a time when a community comes together: vendors, health IT teams, and many others who participate in and influence the healthcare industry. From a vendor perspective, there is a lot of work that goes into the show, ensuring everything goes as flawlessly as possible and setting the opportunity to interact with customers and prospects. From a participant perspective, there is an opportunity to learn a great deal and network with colleagues. It all comes together for one week at HIMSS."

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GE Centricity Portal Adds HIE, SMS Support - Health Care IT - News & Reviews

GE Centricity Portal Adds HIE, SMS Support - Health Care IT - News & Reviews | #HITsm | Scoop.it

GE has released an update to its Centricity Patient Online portal to incorporate SMS texting between patients and doctors, as well as access to HIEs.

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Bipartisan center calls for increased HIE efforts, alignment of healthcare incentives

Bipartisan center calls for increased HIE efforts, alignment of healthcare incentives | #HITsm | Scoop.it

A report released by the Bipartisan Policy Center calls for "aligning financial incentives with high-quality care and accelerating health information exchange efforts (HIE)."

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5 keys to getting your HIE capabilities up and running

5 keys to getting your HIE capabilities up and running | #HITsm | Scoop.it

Sonal Patel, regular contributor to the HL7 Standards blog and VP of Client Services at Corepoint Health, offered her advice to Healthcare IT News for providers who are preparing to connect to a Health Information Exchange, or HIE.


Sonal's 5 keys to getting your HIE capabilities up and running:

  1. Have a strategy in place.
  2. Pursue education.
  3. Keep workflow in mind.
  4. Be flexible.
  5. Be patient and thorough.
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Health Information Exchange: What’s the Motivation?

Health Information Exchange: What’s the Motivation? | #HITsm | Scoop.it

First post in a 6-part series on HIEs that I'm writing for the GenI blog. This post sets the stage for the series and explores a few factors that are driving health organizations to connect to, or create, a HIE: Meaningful Use, and preparation for ACO shared savings revenue.

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The HIT Standards Committee seeks comment on HIE standards

The HIT Standards Committee, a federal advisory panel, reminds stakeholders that public comment is being solicited through Dec. 15 on specifications to support health information exchange across the nationwide health information network. 

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Dueling Health Information Exchanges Thwart Patient Care

Dueling Health Information Exchanges Thwart Patient Care | #HITsm | Scoop.it

The biggest problem this presents to Michigan healthcare providers is that the two big HIEs--Great Lakes HIE and Grand Rapids-based Michigan Health Connect--use different HIE vendors and are on different platforms. So if a hospital or physician practice signs up with one of these HIEs, they can't exchange data with providers that belong to the other exchange.


The article quotes Jim Lee, vice president for data policy of the Michigan Health and Hospital Association, as saying that a single statewide HIE, rather than competing regional HIEs, would be the best solution for the state. The author also cites a study in the Annals of Internal Medicine that found "states that have promoted the use of a single HIE, including Indiana, Maryland, and Massachusetts, have not only moved more quickly ahead in the goal of exchanging patient information, but those HIEs also are more financially stable."

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The Building Blocks of HIEs: A glossary of common terms

The Building Blocks of HIEs: A glossary of common terms | #HITsm | Scoop.it

GENi Blog: In this post, I describe some common HIE terms that you’re likely to encounter when researching or discussing HIEs.


One thing to keep in mind when reading about HIEs and how they operate, at least from my experience, is that the terminology is not consistently used by health IT professionals, which only complicates the learning process. Hopefully these terms provide a foundation to help you better understand the complicated, and always changing, world of health information exchange.


Visit the GENi Blog for defitions of:

  • Clinical Data Repository
  • Document Registry
  • Master Person Index
  • HIE Participant Identity Management
  • Record Locator Service


You can also read the previous HIE posts on:

Health Information Exchange: What’s the Motivation?

HIE Architecture Types

Despite Momentum, HIE Sustainability a Concern

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ConnectVirginia - Surprising pacesetters in the HIE movement

ModernMedicine: Virginia physicians are sharing messages, patient records, lab results, dictated reports, discharge summaries, and other scanned documents with a secured statewide messaging service that launched this month.

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Health IT adoption rising, thanks to HITECH Act and despite politics

Health IT adoption rising, thanks to HITECH Act and despite politics | #HITsm | Scoop.it

SearchHealthIT by @donfluckinger: In this U.S. election year, and on the eve of the Health Information and Management Systems Society's HIMSS 2012 conference, it seems that pure politics, not practical or technical considerations, are shaping health IT adoption policy -- especially as the Centers for Medicare and Medicaid Services agrees to postpone ICD-10 implementation at the American Medical Association's behest.


Yet Harvard School of Public Health professor, former Health IT Standards Committee co-chair and current Veterans Health Administration senior advisor for quality and safety Ashish Jha, M.D., said that the HITECH Act -- arguably the biggest HIT political gambit -- is accomplishing what it set out to do three years ago: expedite health information exchange (HIE) and electronic health record (EHR) implementation.

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Health Information Exchange: Architecture Types

Health Information Exchange: Architecture Types | #HITsm | Scoop.it

GENi Blog: Part 2 of the HIE series provides an overview of the three common architecture types: Centralized, Federated and Hybrid. I also discuss a diagram of the architecture commonly used in private HIEs, which many larger healthcare organizations have built to effectively share patient data between member hospitals, labs and their referring physicians.


Read Part 1 of the HIE Series: HIEs: What's the Motivation?

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eHI: ONC workforce development program is underutilized

eHI: ONC workforce development program is underutilized | #HITsm | Scoop.it

From CMIO: The increasing utilization of EHRs and health information exchange (HIE) that has been spurred by an unprecedented level of government funding for health IT could represent an untapped market for both job creation and market savings, according to the eHealth Initiative (eHI).

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From The Blog. Health IT: A Competitive Advantage in Improving the Patient Experience

From The Blog. Health IT: A Competitive Advantage in Improving the Patient Experience | #HITsm | Scoop.it

Jason Wolf, executive director of The Beryl Institute, takes some time to discuss how the myriad projects health IT professionals are working on will have a long-term, positive influence on improving the patient experience, a topic he has dedicated his career to.


Wolf: "I have seen some use policy as an excuse for the inability to act on patient experience, but in fact, better record keeping, more efficient systems, expanded access and overall coordinated effort should all be positive contributing factors in our ability to improve patient experience overall. I believe a commitment comes down to leadership choice, clear organizational objectives and unwavering systems of accountability."

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Health Care IT Managers Want to Adopt HIEs, but Lack of Funds Stymies Them

Health Care IT Managers Want to Adopt HIEs, but Lack of Funds Stymies Them | #HITsm | Scoop.it

eWeek: Health care IT managers have interest in connecting to health information exchanges but lack the resources to adopt them, according to a survey by consulting firm Beacon Partners.


Despite high startup costs and insufficient capital, 70 percent of health care executives surveyed are planning for an HIE.


"The intent is all there," Kevin Burchill, director at Beacon Partners, told eWEEK. "The question from an ongoing standpoint is what happens when the money dries up."


When member organizations run low on funds, they must call on other hospitals, local physician practices and nursing homes in an HIE to contribute resources for the platforms, Burchill said.

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From The Blog: A Peek Inside IHE Connectathon

From The Blog: A Peek Inside IHE Connectathon | #HITsm | Scoop.it

The IHE Connectathon event for 2012 was held in Chicago last week. Connectathon allows health IT vendors to test their ability to support IHE profiles, which are critical to standardizing communications across HIEs, ACOs, and across regions.


Rob Brull attended for the first time in 2012 and offers up his observations, including how it is refreshing to see vendors collaborating as each team worked toward proving interoperability.

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At RSNA, radiologists explore role in HIE initiatives

At RSNA, radiologists explore role in HIE initiatives | #HITsm | Scoop.it

Radiologists might sometimes wonder if they’re operating in a health care vacuum. As federal initiatives and health IT lead to greater integration of the care delivery system, and health information exchange (HIE) initiatives means more providers are communicating, though, that sense will change.

 

The efforts to create more efficient data exchange and improve communication among radiologists and other providers are not just about compliance, say those physicians who have been at the forefront of these HIE initiatives for RSNA. Quality improvement is about connecting radiology with patient care -- something that can, at times, be lost.

 

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